The Miss North Carolina Teen USA competition is the pageant that selects the representative for the state of North Carolina in the Miss Teen USA pageant and is part of the RPM Productions group.

North Carolina has been moderately successful at Miss Teen USA, but has never won the title. Their best placement was in 1987 when Peggy Blackwell placed first runner-up to Kristi Addis of Mississippi. North Carolina's greatest success came from the mid-1980s to early 1990s. Their most recent placement came in 2012, when Kat Puryear made the top 16.